Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-021339 | New member onboarding Next-best-action | Marilyn Salazar: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021340 | New member onboarding Next-best-action | Peter Robinson: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021341 | New member onboarding Next-best-action | Brandon Martin: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021342 | New member onboarding Next-best-action | Angela Clark: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021343 | New member onboarding Next-best-action | Karen Brooks: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021344 | New member onboarding Next-best-action | Valentina Burton: enrolled 2026-09-05, no activity yet |
| Proposed | — | ||
| ACT-021345 | New member onboarding Next-best-action | Megan Berry: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021346 | New member onboarding Next-best-action | Ommar Larson: enrolled 2026-09-24, no activity yet |
| Proposed | — | ||
| ACT-021347 | New member onboarding Next-best-action | Dennis Stewart: enrolled 2026-10-04, no activity yet |
| Proposed | — | ||
| ACT-021348 | New member onboarding Next-best-action | Charlotte Bowman: enrolled 2026-09-17, no activity yet |
| Proposed | — | ||
| ACT-021349 | New member onboarding Next-best-action | Martha Romero: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021350 | New member onboarding Next-best-action | Carlos Hudson: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021351 | New member onboarding Next-best-action | Theresa Ramos: enrolled 2026-10-16, no activity yet |
| Proposed | — | ||
| ACT-021352 | New member onboarding Next-best-action | Alexis West: enrolled 2026-10-12, no activity yet |
| Proposed | — | ||
| ACT-021353 | New member onboarding Next-best-action | Melissa Welch: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021354 | New member onboarding Next-best-action | William Vega: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021355 | New member onboarding Next-best-action | Paul Luna: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021356 | New member onboarding Next-best-action | Gabriel Lawson: enrolled 2026-10-06, no activity yet |
| Proposed | — | ||
| ACT-021357 | New member onboarding Next-best-action | Nancy Harper: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021358 | New member onboarding Next-best-action | Linda Ellis: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021359 | New member onboarding Next-best-action | Brandon Ryan: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021360 | New member onboarding Next-best-action | Teresa Schmidt: enrolled 2026-09-28, no activity yet |
| Proposed | — | ||
| ACT-021361 | New member onboarding Next-best-action | Carl Guzman: enrolled 2026-10-14, no activity yet |
| Proposed | — | ||
| ACT-021362 | New member onboarding Next-best-action | Anthony Nunze: enrolled 2026-09-10, no activity yet |
| Proposed | — | ||
| ACT-021363 | New member onboarding Next-best-action | Diego Richards: enrolled 2026-09-09, no activity yet |
| Proposed | — | ||
| ACT-021364 | New member onboarding Next-best-action | Ronald Parker: enrolled 2026-10-07, no activity yet |
| Proposed | — | ||
| ACT-021365 | New member onboarding Next-best-action | Patrick Hunter: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021366 | New member onboarding Next-best-action | Abby Owens: enrolled 2026-10-08, no activity yet |
| Proposed | — | ||
| ACT-021367 | New member onboarding Next-best-action | Janet Kim: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021368 | New member onboarding Next-best-action | Philip Cook: enrolled 2026-09-06, no activity yet |
| Proposed | — | ||
| ACT-021369 | New member onboarding Next-best-action | Herrera Charles: enrolled 2026-09-18, no activity yet |
| Proposed | — | ||
| ACT-021370 | New member onboarding Next-best-action | Nathan Dean: enrolled 2026-10-05, no activity yet |
| Proposed | — | ||
| ACT-021371 | New member onboarding Next-best-action | Natalie Rivera: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021372 | New member onboarding Next-best-action | Janet Johnson: enrolled 2026-09-11, no activity yet |
| Proposed | — | ||
| ACT-021373 | New member onboarding Next-best-action | Benjamin Delgado: enrolled 2026-09-26, no activity yet |
| Proposed | — | ||
| ACT-021374 | New member onboarding Next-best-action | Camila Taylor: enrolled 2026-10-13, no activity yet |
| Proposed | — | ||
| ACT-021375 | New member onboarding Next-best-action | Jason Mejia: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021376 | New member onboarding Next-best-action | Teresa Simpson: enrolled 2026-09-21, no activity yet |
| Proposed | — | ||
| ACT-021377 | New member onboarding Next-best-action | Dylan Davis: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021378 | New member onboarding Next-best-action | Lori Tucker: enrolled 2026-09-14, no activity yet |
| Proposed | — | ||
| ACT-021379 | New member onboarding Next-best-action | Tony Gilbert: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021380 | New member onboarding Next-best-action | Albert Sanders: enrolled 2026-09-29, no activity yet |
| Proposed | — | ||
| ACT-021381 | New member onboarding Next-best-action | Virginia Hall: enrolled 2026-10-03, no activity yet |
| Proposed | — | ||
| ACT-021382 | New member onboarding Next-best-action | Roger Wallace: enrolled 2026-09-07, no activity yet |
| Proposed | — | ||
| ACT-021383 | New member onboarding Next-best-action | Roger Castillo: enrolled 2026-09-16, no activity yet |
| Proposed | — | ||
| ACT-021384 | New member onboarding Next-best-action | Pamela Gordon: enrolled 2026-09-15, no activity yet |
| Proposed | — | ||
| ACT-021385 | New member onboarding Next-best-action | Valentina Green: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021386 | New member onboarding Next-best-action | Grace Robinson: enrolled 2026-10-01, no activity yet |
| Proposed | — | ||
| ACT-021387 | New member onboarding Next-best-action | Maria Reynolds: enrolled 2026-10-09, no activity yet |
| Proposed | — | ||
| ACT-021388 | New member onboarding Next-best-action | Elizabeth Mitchell: enrolled 2026-09-15, no activity yet |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.